Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Glenn Bautista, APN

Individual provider Family Nurse Practitioner · NPI 1164105664

Glenn Bautista, APN is a Nurse Practitioner in Schaumburg, Illinois. Qualified in 2021, 5 years ago. Practices with Chicago Cardiology Institute SC, a 23-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
5
Licensed in
IL
In the registry since
2023
What do these letters mean?
APN — Advanced Practice Nurse
The umbrella title some states use for nurse practitioners and other advanced practice nurses.

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Practice location Address checks out

804 E Woodfield Rd
Schaumburg, IL 60173-4776
Phone: (847) 605-0030
Fax: (847) 637-0737
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 209028005 (IL)

Record details

NPI number1164105664
Entity typeIndividual (Type 1)
GenderMale
Credentials APN
Sole proprietorYes
NPI enumeratedAugust 10, 2023
Last updated in NPPESMarch 21, 2024
Certification dateMarch 21, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Chicago Cardiology Institute Sc — 23 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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